Published online Nov 18, 2014. doi: 10.5312/wjo.v5.i5.685
Revised: July 6, 2014
Accepted: July 15, 2014
Published online: November 18, 2014
Core tip: Non-operative management is associated with good outcomes in the majority of proximal humerus fractures in adults. There is currently insufficient evidence to suggest superiority of one treatment option over the others. Any surgical intervention should have clear aims and indications and the appropriate technique should be selected for each individual patient. Decision-making should involve detailed fracture evaluation, careful patient selection with thorough consideration of individual patient characteristics, comorbidities and functional expectations and profound understanding of the benefits and limitations of each management option.